肺结核中的帕伦基马腔位:肺超声波,胸部X射线和计算机断层扫描之间的比较
Diletta Cozzi1, Maurizio Bartolucci2, Federico Giannelli3
1Radiology Emergency Department, Careggi University Hospital, 50139 Florence, Italy.
Diagnostics (Basel, Switzerland)
|March 13, 2024
概括
肺部超声波 (LUS) 与CT和X射线相比,对于检测肺结核 (TB) 腔位的灵敏度较低. 然而,LUS可以自信地用特定的空气新月标志识别空气化洞穴.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
背景情况:
- 肺结核 (TB) 的诊断通常依赖于成像.
- 肺腔腔是结核病的关键特征,但检测它们可能具有挑战性.
- 评估结核病诊断的新型成像方法至关重要.
研究的目的:
- 评估肺超声波 (LUS) 的诊断准确性,以检测肺结核 (TB) 中的肺腔.
- 将LUS发现与胸部计算机断层扫描 (CT) 和胸部X射线 (CXR) 进行比较.
主要方法:
- 82名疑似结核病患者接受了CXR,CT和LUS.
- 支气管支气管洗 (BAL) 用于结核病的确认.
- 一位失明的放射科医生在入院后3天内进行了LUS.
主要成果:
- 在43.6%的患者中,胸部CT检测出洞穴,CXR在33%的患者中,LUS在18.3%的患者中.
- 洞穴的LUS灵敏度为39.5%,具有100%的特异性.
- CXR敏感度为68.4%,具有97.8%的特异性.
结论:
- 肺部超声波 (LUS) 对于检测肺结核 (TB) 腔位的敏感性有限,特别是当它没有到达膜表面时.
- LUS具有高度的特异性,可以可靠地检测以空气新月标志为特征的空气化洞穴.
- 在结核病中,CT和CXR对识别更广泛的肺腔腔的范围更为敏感.
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